Poster Presentation
Water's Edge Ballroom (Hilton Waikoloa Village)
Friday, July 15, 2005
10:30 AM - 11:00 AM
Water's Edge Ballroom (Hilton Waikoloa Village)
Friday, July 15, 2005
4:00 PM - 4:30 PM
A Pilot Investigation of the Short-Term Effects of an Interdisciplinary Intervention Program on Elderly Patients With Hip Fracture in Taiwan
Yea-Ing Lotus Shyu, PhD, School of Nursing, Chang Gung University, Tao-Yuan, Taiwan, Jersey Liang, PhD, Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA, Chi-Chuan Wu, MD, Department of Orthopedics, Chang Gung Memorial Hospital, Taiwan, Taoyuan, Taiwan, Juin-Yih Su, MD, Department of Trauma & Emergency Surgery, Chang Gung Memorial Hospital, Taiwan, Taoyuan, Taiwan, Huey-Shinn Cheng, MD, Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan, Taiwan, Shih-Wei Chou, MD, PhD, Department of Physical Therapy, Chang Gung University, Taiwan, Taoyuan, Taiwan, and Ching-Tzu Yang, MSN, School of Nursing, Chang Gung University, Taiwan, Tao-Yuan, Taiwan.
| Learning Objective #1: Understand the content of an interdisciplinary intervention program on elderly patients with hip fracture |
| Learning Objective #2: Understand the short-term effects of the intervention program (using a sample from Taiwan) |
OBJECTIVES: To evaluate an interdisciplinary intervention program for elders with hip fracture in Taiwan. DESIGN: Randomized experimental design. SETTING: A 3800-bed medical center in northern Taiwan. PARTICIPANTS: Elderly patients with hip fracture (N=137) were randomly assigned to an experimental (n=68) or control (n=69) group. INTERVENTION: An interdisciplinary program of geriatric consultation, continuous rehabilitation, and discharge planning. MEASUREMENTS: Both demographic and outcome variables were measured. Outcome variables included service utilization, clinical outcomes, self-care abilities, health-related quality of life (HRQOL) outcomes and depressive symptoms. RESULTS: Subjects in the experimental group significantly improved relative to the control group in the following outcomes: ratio of hip flexion one month after discharge (P=.015), recovery of previous walking ability at both one month (P=.037) and three months (P=.001) after discharge, activities of daily living at both one month (P=.01) and three months (P=.001) after discharge. At three months after discharge, the experimental group showed significant improvement in peak force of fractured limb's quadriceps (P=.04) and the following health outcomes: bodily pain (P=.03), vitality (P<.001), mental health (P=.02), physical function (P<.001), role physical (P=.006). They also had fewer depressive symptoms (P=.008) at three months after discharge. CONCLUSION: This intervention program may benefit elders with hip fractures in Taiwan by improving their clinical outcomes, self-care abilities, HRQOL, and by decreasing depressive symptoms within three months after discharge.